Complaint·December 2, 2025

In regard to the allegation “Staff did not ensure that the facility was free of scabies”, It is alleged that R1 was admitted to emergency for an unwitnessed fall and upon exam it was discovered R1 had scabies. During interview with Administrator, and staff five (5) out of seven (2) stated that they did not observe R1 to have any rash. Administrator stated that the Dermatologist came on 11/19/2025 and only treated R1 for redness around sacral/buttocks. S1 and S3 stated there was a little rash on back but was not reported. During interviews with residents four (4) out of five (5) residents stated that they have had no rash. During record review LPA obtained hospital discharge paperwork that stated R1 had scabies along with instruction for medications and the need for isolation. In regard to the allegation “Staff did not address resident's change in condition”, It is alleged that R1 was not treated for skin condition prior to be admitted to hospital on an unrelated manner. Treating physician reported R1 had scabies and treatment was initiated due to the resident's skin condition/symptoms. During interview with Administrator, and staff seven (7) out of seven (7) stated that there was no report of a change of condition. Administrator stated that dermatologists are at facility weekly and no report of rash was reported. During interviews with residents five (5) out of five (5) residents stated that they have had no problems with rashes. During record review it was revealed that on 11/18/2025 body assessment chart indicated little red spots on lower neck.In house Dermatologist was at facility on 11/19/2025 and did not address body part that was reported by caregiver Based on record review and interviews conducted, the preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED. Deficiencies are being cited according to California Code of Regulations, Title 22 and Health and Safety Code. An exit interview was conducted, and a copy of this report was provided.